Phone Number Area Code Phone Number Full Name* First Name Last Name E-mail* Number of Attendees: Cost: $79 (textbook included) Questions or Comments: Total $0.00 Payment* Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearCheck made out to:Chabad of Dana Point Mailed to: 34145 Pacific Coast Hwy #803Dana Point, CA 92629 Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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